论人口老龄化进程与全科医学的互动关系

全科医学是 2 0世纪 6 0年代在北美兴起的一门综合性临床医学学科 ,它是以人为中心 ,以维护和促进健康为目标 ,向个人、家庭与社区提供连续、综合、便捷的基本卫生服务的新型医学学科。人口老龄化进程对全科医学形成和发展有重要影响。全科医学的发展对我国人口老龄化进程也有重大影响 ,有助于社区卫生工作的完善与发展、加快社区养老社会化服务的进程 ,有助于实现健康老龄化。     

关于老年问题研究文献的内容分析

老年问题从家庭的、个人的问题逐渐变成了社会问题,引起了全社会的高度重视.本文应用内容分析方法,分析了我国自80年代以来,老年问题研究的历史、现状、总体趋势,并提出了几点建议.     

关于完善农村老年人口养老体系的探讨

随着人口老龄化速度的加快,我国农村老年人口的养老问题备受关注.本文分析了老年养老体系的分类及构成要素,以此考察了我国农村老年人口养老体系的状况和所面临的挑战,同时提出了完善农村老年人口养老体系的建议.     

Emancipated foster youth’s experiences and perceptions of the transition to adulthood

Using a grounded theory approach, this study evaluated narratives from a sample of 170 emancipated foster youth (66.5% female; 84.6% non-white) as they reflected on their experiences between the ages of 18 and 25 across three data waves. Corbin and Strauss’ (1990) three-phase coding process revealed five overarching themes: adult values and characteristics, nature of the transition process, material needs and resources, relationship concerns, and affective experiences. Although some elements of Arnett’s (2000) model of emerging adulthood were evident in this sample of emancipated foster youth, such as individualistic qualities and instability, other core features were rarely discussed, such as self-focus and optimism, or were expressed in unique ways, such as exploration and feeling in-between. There were significant age-related changes, but not gender differences, in youth’s discussion of varied themes. These findings suggest promising avenues for intervention during the sensitive period of developmental reorganization that characterizes the transition from adolescence to young adulthood.     

The Aging Semantic Differential in Mandarin Chinese: Measuring Attitudes toward Older Adults in China

ABSTRACT

The Aging Semantic Differential (ASD) is the most widely used instrument to measure young people’s attitudes towards older adults. This study translated the ASD to Mandarin and examined its psychometric properties. The Mandarin-ASD contains three latent factors (Personality and Mental Health, Societal Participation, and Physical) that have high internal reliability and reasonable discriminate validity. Social work researchers, practitioners and allied professionals may utilize the ASD-Mandarin instrument to measure young people’s attitudes towards older adults in China. We issue a call for a universal-ASD that can be applied across different cultural contexts.     

The impact of age,BMI and sex hormone on aging males’ symptoms and the international index of erectile function scores

Objective: To analyze the impact of age, BMI and sex hormone on aging males’ symptoms (AMS) and the 5-item version of the international index of erectile function (IIEF-5) scores in middle-aged and elderly Chinese men.

Methods: A population-based cross-sectional study was conducted in Jiashan County. A total of 969 men, aged between 40 and 80 years old, were admitted. Physical examination and the sex hormones were measured, and AMS and IIEF-5 scores were assessed.

Results: The oneway ANOVA analysis indicated older age groups had higher AMS total-scores, somatic and sexual sub-scores, and lower IIEF5 scores (all p?r_pairwise) analyses showed the significant associations between AMS and age or sex hormone (cFT, Bio-T, SHBG, and LH) levels, and similar for IIEF5. However, when age was adjusted, the correlation coefficients (r_partial) weakened, and correlation significance disappeared, except LH (for AMS: r_partial?=?0.096, p?=?.009; for IIEF-5: r_partial?= ?0.140, p?=?.001). Multiple linear regressions confirmed the influence of increased age and LH on the AMS and IIEF5 scores.

Conclusion: CFT, Bio-T and SHBG failed to yield any additional predicting information when age was adjusted. To improve the male reproductive health, future research should pay more attention on aging-related comorbidities and how to improve general wellness.     

Cambodian Refugee Families: Impacts of Immigration-Related Stressors on Intergenerational Relationships

The purpose of this study was to elucidate Cambodian refugees’ perceptions of immigration-related stressors and their impacts on intergenerational relations during the processes of immigration and settlement. We used narrative analysis to evoke older immigrants’ voices as they transitioned to the United States. Thirty-one Cambodian immigrants were interviewed using open-ended interview guides informed by ethnographic tenets of data collection. Participants expressed (a) changes in family structure and elder isolation and (b) intergenerational ambivalence and elder’s dependence on adult children as products of immigration-related stressors. Implications of these results for refugee and immigrant mental health research are discussed.     

A general long-term aging model with different underlying activation mechanisms: Modeling,Bayesian estimation,and case influence diagnostics

In this paper we propose a general cure rate aging model. Our approach enables different underlying activation mechanisms which lead to the event of interest. The number of competing causes of the event of interest is assumed to follow a logarithmic distribution. The model is parameterized in terms of the cured fraction which is then linked to covariates. We explore the use of Markov chain Monte Carlo methods to develop a Bayesian analysis for the proposed model. Moreover, some discussions on the model selection to compare the fitted models are given, as well as case deletion influence diagnostics are developed for the joint posterior distribution based on the ψ-divergence, which has several divergence measures as particular cases, such as the Kullback–Leibler (K-L), J-distance, L₁ norm, and χ²-square divergence measures. Simulation studies are performed and experimental results are illustrated based on a real malignant melanoma data.     

Toward a gender politics of aging

The article proposes a Gender Politics of Aging approach to the study of aging societies. The approach recognizes the feminization of old age, ageism’s roots in sexist discourse, and the need to recognize the role of politics in driving demographic debates. Drawing together arguments from feminist gerontology and political demography, the article argues that the intersection of politics and gender must be considered if appropriate responses to an older, feminized demography are to be produced. I conclude that the work of aging feminists provides a rich vein of research and praxis from which a gender politics of aging approach can draw.     

社会保障、代际支持如何影响城镇老年人退而不休?

对城镇老年人退而不休的动因分析,是合理开发和管理老年人力资源的前提.基于代际支持的传导作用,研究发现,具有较高社会保障水平、健康状况较好和学历较高的城镇老年人选择退而不休更倾向于实现自我价值,同时,足够的家庭养老支持对他们积极发挥余热的动机有正向推动作用;而健康状况较差和学历较低的城镇老年人,由于家庭养老支持不足、其付出与获得的家庭资源不对等以及由此产生的社会保障"外溢"等压力,更可能以获得收入为动机选择退而不休,进而导致其发展权利受损.因此,有差别地开发和管理老年人力资源、谨慎制定并实施延迟退休政策,对实现积极、健康的老龄化社会有着重要的意义.